Individual
DR. DOUGLAS R. JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611
(800) 543-7362
(312) 227-9414
Mailing address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(800) 543-7362
(312) 227-9414
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
036141921
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036141921
—
IL
Enumeration date
05/23/2007
Last updated
05/22/2020
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